在儿童枪支伤害中,基于打算射击的社会经济差异
Cary M Cain1, Abiodun O Oluyomi, Ned Levine
1From the Baylor College of Medicine (C.M.C., A.O.O., O.R.); Ned Levine & Associates (N.L.), Houston, Texas, US; Cincinnati Children's Hospital (L.P.), Cincinnati, Ohio; and University of Texas Medical Branch (B.N.-M.), Galveston, Texas.
The journal of trauma and acute care surgery
|January 29, 2024
概括
贫困社区的儿童面临更高的人际枪支暴力的风险. 然而,种族和民族调解了这种联系,突出了解决结构性不平等的有针对性的干预措施的需要.
科学领域:
- 儿科伤害流行病学 儿科伤害流行病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 儿童枪支伤害与社会经济上的不利状况有关.
- 大多数研究都集中在致命伤害上,忽视了枪击意图.
- 这项研究调查了故意造成的致命和非致命的儿科枪支伤害对邻居的不利影响.
研究的目的:
- 检查社区社会经济劣势和儿科枪支伤害意图之间的关联.
- 区分致命和非致命伤害与邻里剥夺的关系.
- 评估个人层面因素对这种关联的影响.
主要方法:
- 利用了德克萨斯州哈里斯县儿科枪支伤害 (2018-2020) 的链接数据库.
- 采用地理空间分析和区域贫困指数 (ADI) 来衡量社区的劣势.
- 使用回归模型来评估跨射击意向的ADI差异,并对共变量进行调整.
主要成果:
- 人际暴力占儿科枪支伤害的77%,其次是无意 (15%) 和自我伤害 (8%).
- 与自我伤害伤害相比,较高的ADI得分与人际暴力的可能性增加有关.
- 在调整年龄,性别和种族/民族之后,在伤害意图之间没有观察到ADI的显著差异.
结论:
- 处境不利的社区与儿童中人际枪支暴力的更高率有关.
- 种族和种族似乎调解了邻里不利和枪支伤害之间的关系.
- 干预措施应解决邻居的结构性劣势,并考虑个人层面的因素,以有效预防儿科枪支伤害.
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